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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />: 08/12/99 12:27 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-06587 <br />APPLIED <br />08/12/1999 <br />00/00/0000 <br />02/08/2000 <br /> <br /> LUCAIOR: 041WIICAOlbUO <br />: HISTORY ATTACHED AUTH/FLD REPL: MFG 3 TO 2 BDRMS CITY: MARION COUNTY <br /> <br />2 PROPOSED BEDROOMS : 2 ZONE: AR <br /> PROPOSED EMPLOYEES: MAP: 3R <br /> LAND USE: <br /> <br /> 13860 WISTERIA DR NE AR <br /> <br /> LOT: <br />71000-390 PARCEL: <br /> <br />MALL DAVID <br />12860 WESTERIA DR NE <br />AURORA OREGON 97002 <br />503-678-2085 ~ <br />HALL DAVID <br />13860 WESTERIA DR NE <br />AURORA OREGON 97002 <br /> <br /> BL: <br />11316.00 SF <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />PHONE 503-678-2085 <br /> <br /> Units Description Fee <br /> 1 Authorization w/Field Visit 250.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br />PAYEE: HALL DAVID Total payments: 280.00 <br /> Balance due : ,00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL. FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OFTHE REVIEW <br />HAVE BEEN MET, YOU WILL B~. ~ . . / ~ <br />SIGNATURE OF APPLICANT'~/~.~-->-~'/~') ~/~ <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-~27 <br /> <br /> <br />